Arbor Lake Nursing & Rehabilitation
901 PENNSYLVANIA AVE., Fort Worth, TX, 76104
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual · Chain: Opco Skilled Management
- Certified beds
- 123 · avg 90 residents/day
- Total nursing staff turnover
- 45.8% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 41.7% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $14,667 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 311774
- Service type
- Medicare/medicaid
- Licensed capacity
- 123 beds
- Bed type breakdown
- 20 Medicare-only · 103 Medicaid/Medicare
- Current license effective
- January 1, 2024
- Current license expires
- January 1, 2027
- Initial license date
- March 1, 1974
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Frio Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Arbor Lake Nursing & Rehabilitation Llc
- Administrator
- Elizabeth Dailey
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Opco Skilled Management chain — 52 facilities across 5 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (14 on record)
- Hansen Hunter Llc
Adp of The Snf · since 2025
- 901 Pennsylvania Ave Tx, Llc
Adp of The Snf · since 2024
- Arbor Lake Nursing & Rehabilitation Llc
Operational/managerial Control · 100% · since 2024
- Continuum Rehab Group Llc
Adp of The Snf · since 2024
- David Garetz
Operational/managerial Control · since 2024
- Elizabeth Dailey
Adp of The Snf · since 2024
+ 8 additional owners on the federal record.
Recent change of ownership
January 2024 (2 years ago) · acquired from Arbor Lake Nursing & Rehabilitation Llc
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 32)
- E0567·Sep 8, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
- G0744·Jul 25, 2025Complaint
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- E0880·Jul 25, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0677·Jul 25, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- G0600·Jul 25, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E0584·Jul 25, 2025
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D0627·May 24, 2025Complaint
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D0925·Apr 15, 2025Complaint
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Federal penalties
By year
- 20252 fines · $15K · 1 payment denial
Most recent events
- Jul 25, 2025Fine · $598
- Apr 15, 2025Payment denial · 27 days · starting May 15, 2025
- Apr 15, 2025Fine · $14K
Largest single fine on record: $14K.
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: May 9, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Arbor Lake Nursing & Rehabilitation is a 123-bed Medicare/Medicaid nursing home in Fort Worth (Tarrant County), operating since 1974. CMS rates it 2 stars overall, with a 1-star staffing rating and substantiated findings of resident abuse or neglect within the past 36 months. Quality-of-care outcome measures rate 5 stars. The facility is running at roughly 73% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives approximately 177 minutes of nursing care per day, roughly 64 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest. Registered nurses account for only 25 of those 177 minutes.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. That finding is independent of the staffing or inspection ratings and is based on confirmed incidents.
Two CMS fines totaling $14,667 have been issued. About 30% of Texas nursing homes have received no fines; these fines fall below the state median of $20,699.
The facility is running at about 73% of its 123 licensed beds — 89 to 90 residents on an average day. At that occupancy level, beds are generally available without a waitlist.
CMS rates quality-of-care outcome measures 5 stars, for both long-stay and short-stay residents. That rating reflects documented outcomes — things like rates of pressure wounds, falls, and rehospitalization — not staffing levels or inspection findings.
One administrator has turned over in the past year.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Substantiated abuse findings
CMS shows confirmed abuse or neglect findings here in the past 36 months — ask what happened, what changed, and how incidents are reported and investigated today.
Staffing levels on evenings and weekends
CMS rates staffing 1 star, with weekend nursing hours at 2.5 minutes per resident per day — ask how many nurses and aides are on the floor on a Saturday night.
Registered nurse coverage
Reported RN time is about 25 minutes per resident per day — ask which shifts have a registered nurse physically present in the building.
Recent administrator change
One administrator has turned over in the past year — ask who is currently in that role and how long they have been in place.
Current occupancy and bed availability
The facility is running at roughly 73% of capacity — ask whether that reflects a waitlist for a specific unit, wing, or payer type.
How outcomes stay high with low staffing
Outcome measures rate 5 stars while staffing rates 1 star — ask how care plans are reviewed and who is responsible for catching declines in resident condition.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.